Individual
JENNIFER PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
3 ASHWOOD LN, PLYMOUTH MEETING, PA 19462-2384
(610) 278-0989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC00577OL
PA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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